Active NPI
Stephanie Marie Kirk, MSN, FNP-BC
- Family Nurse Practitioner
- Durango, CO
National Provider Identifier
1003699562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0999028
- Practice address
- 1305 Escalante Dr Ste 201
Durango, CO 81303-8932 - Phone
- (970) 247-0042
- Fax
- (970) 259-8837
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0999028 | CO | Primary |
Addresses
Primary practice location
1305 Escalante Dr Ste 201
Durango, CO 81303-8932
Mailing address
1305 Escalante Dr Ste 201
Durango, CO 81303-8932
Phone (970) 247-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0999028 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Fertility Care, PLLC | Past | Accepting new patients | |
| Southwest Womens Health Associates | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7771e67c-eed3-4c07-8b39-4ee1de7dfb76/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Women's Health Clinical Nurse Specialist
- Durango, CO
- NPI 1215067434
-
- Reproductive Endocrinology Physician
- Scottsdale, AZ
- NPI 1114929205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1003699562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 ESCALANTE DR STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813038932",
"telephone_number": "970-247-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 ESCALANTE DR STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813038932",
"telephone_number": "970-247-0042",
"fax_number": "970-259-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0999028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.